Active NPI
Macey Wierenga
- Physician Assistant
- Caledonia, MI
National Provider Identifier
1871404053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3900 Carpet Rose CT SE
Caledonia, MI 49316-8147 - Phone
- (616) 304-2033
- NPI assigned
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Primary |
Addresses
Primary practice location
3900 Carpet Rose CT SE
Caledonia, MI 49316-8147
Mailing address
3900 Carpet Rose CT SE
Caledonia, MI 49316-8147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1871404053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 CARPET ROSE CT SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493168147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CARPET ROSE CT SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493168147",
"telephone_number": "616-304-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERENGA",
"first_name": "MACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.